Prevention Services for Externalizing and Anxiety Symptoms in Low-Income Children: the Role of Parent Preferences in Early Childhood View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-08-27

AUTHORS

Nicholas D. Mian, Leandra Godoy, Abbey S. Eisenhower, Amy E. Heberle, Alice S. Carter

ABSTRACT

Dissemination of prevention programs targeting young children is impeded by challenges with parent engagement. Matching program characteristics to parent preferences is associated with increased retention in clinical/intervention settings, but little is known about the types of prevention programs that interest parents. The objectives of this study were to better understand parents’ preferences for services designed to prevent externalizing and anxiety disorders and to identify factors associated with preferences. Ethnically diverse, low-income caregivers (n = 485) of young children (11–60 months) completed surveys on child anxiety and externalizing symptoms, parental worry about their children, parent anxiety symptoms, and preferences for prevention group topics. Parents were more likely to prefer a group targeting externalizing behaviors compared to anxiety. Cluster analysis revealed four groups of children: low symptoms, moderate anxiety-low externalizing, moderate externalizing-low anxiety, and high anxiety and externalizing. Parents’ preferences varied according to co-occurrence of child anxiety and externalizing symptoms; interest in a program targeting externalizing problems was associated with elevated externalizing problems (regardless of anxiety symptom level), parent anxiety symptoms, and parent worry about their child. Only parent anxiety symptoms predicted parents’ interest in an anxiety-focused program, and preference for an anxiety-focused program was actually reduced if children had co-occurring anxiety and externalizing symptoms versus only anxiety symptoms. Results suggest that parents’ interest in a program to prevent externalizing problems was well-aligned with the presenting problem, whereas preferences for anxiety programming suggest a more complex interplay among factors. Parent preferences for targeted programming are discussed within a broader framework of parent engagement. More... »

PAGES

83-92

References to SciGraph publications

  • 2014-02-05. Examining Delivery Preferences and Cultural Relevance of an Evidence-Based Parenting Program in a Low-Resource Setting of Central America: Approaching Parents as Consumers in JOURNAL OF CHILD AND FAMILY STUDIES
  • 2013-08-15. Little Children with Big Worries: Addressing the Needs of Young, Anxious Children and the Problem of Parent Engagement in CLINICAL CHILD AND FAMILY PSYCHOLOGY REVIEW
  • 2007-06-05. How Many Imputations are Really Needed? Some Practical Clarifications of Multiple Imputation Theory in PREVENTION SCIENCE
  • 2013-03-17. Pathways to Service Receipt: Modeling Parent Help-Seeking for Childhood Mental Health Problems in ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
  • 2010-10-30. Enrollment and Attendance in a Parent Training Prevention Program for Conduct Problems in PREVENTION SCIENCE
  • 2002-09. Rationale and Principles for Early Intervention with Young Children at Risk for Anxiety Disorders in CLINICAL CHILD AND FAMILY PSYCHOLOGY REVIEW
  • 2008-05-29. A Comprehensive Meta-Analysis of Triple P-Positive Parenting Program Using Hierarchical Linear Modeling: Effectiveness and Moderating Variables in CLINICAL CHILD AND FAMILY PSYCHOLOGY REVIEW
  • 2001-09. Nipping Early Risk Factors in the Bud: Preventing Substance Abuse, Delinquency, and Violence in Adolescence Through Interventions Targeted at Young Children (0–8 Years) in PREVENTION SCIENCE
  • 2015-01-10. Targeted Prevention of Childhood Anxiety: Engaging Parents in an Underserved Community in AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY
  • 2005-08-02. Parent Recruitment and Retention in a Universal Prevention Program for Child Behavior and Emotional Problems: Barriers to Research and Program Participation in PREVENTION SCIENCE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11121-015-0601-8

    DOI

    http://dx.doi.org/10.1007/s11121-015-0601-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1021175969

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26306610


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